5 UTILIZATION REVIEW MANAGER Jobs in Anchorage, AK
North Star Behavioral Health is Hiring an UTILIZATION REVIEW MANAGER Near Anchorage, AK
Visit us at: www.northstarbehavioral.com
Who is North Star: At North Star Behavioral Health, we are dedicated to delivering a level of care that not only meets but exceeds expectations. Our vision is simple yet profound: to provide care that patients enthusiastically recommend to their family and friends, care that physicians prefer for their patients, and care that our employees take pride in delivering every day.
- Service Excellence
- Continuous Improvement
- Employee Development
- Ethical and Fair Treatment
- Teamwork
- Compassion
- Innovation
Benefits include:
- Challenging & Rewarding Work Environment
- Competitive Compensation & Generous Paid Time Off
- Excellent Medical, Dental, Vision, and Prescription Drug Plans
- 401(K) with Company Match & Discounted Stock Plan
- SoFi Student Loan Refinancing Program
- Career Development Opportunities within UHS and its 300 Subsidiaries!
- Tuition Assistance
SHIFT: 8 hour shifts
SCHEDULE: Monday - Friday, 9:00 AM - 5:00 PM
Key Responsibilities:
Leadership Collaboration: Actively participates in leadership discussions and decision-making processes as a valued member of the Leadership Team.- Utilization Management Oversight: Manages all utilization management activities, including PHP/IOP/off-campus programs, ensuring compliance with regulatory requirements.
- Documentation Training: Provides documentation training for clinical staff, including physicians, nursing, social services, and discharge planner, during New Employee Orientation.
- Physician Engagement and Liaison: Engages with physicians daily to ensure compliance, serves as a key liaison with hospital physicians, aligning engagement with payer expectations, patient acuity, and discharge planning requirements.
- UM Plan Development and Resource Management: Develops and updates the Utilization Management (UM) Plan, manages and tracks Physician Certification Forms and Emergency Care Attestations, and oversees resource management, addressing trends within the facility.
- Quality Assurance and Education: Acts as the Medical Necessity Expert, providing guidance to physicians and leadership, offering ongoing education to facility providers on Medical Necessity Guidelines, Level of Care, and payer changes.
- Bachelor's degree in Social Work or related field.
- Three (3) years clinical experience with a psychiatric mental health population preferred.
- Proven experience in a similar leadership role.
- Must be 21 years of age
One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500 corporation, annual revenues were $12.6 billion in 2021. During the year, UHS was again recognized as one of the World’s Most Admired Companies by Fortune; and listed in Forbes ranking of America’s Largest Public Companies. Headquartered in King of Prussia, PA, UHS has approximately 89,000 employees and continues to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. states, Washington, D.C., Puerto Rico and the United Kingdom. www.uhs.com
EEO Statement
We believe that diversity and inclusion among our teammates is critical to our success.
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Job Summary
Full Time
Ambulatory Healthcare Services
$85k-108k (estimate)
01/06/2024
01/04/2025
northstarbehavioral.com
ANCHORAGE, AK
200 - 500
1996
MANUEL RODRIGUEZ
$10M - $50M
Ambulatory Healthcare Services
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About North Star Behavioral Health
North Star Behavioral Health is a behavioral health facility that offers programs in and around the Anchorage, Alaska area for children, teens and adults who suffer from psychiatric or substance abuse issues. We also offer military-specific care to first responders, service members, veterans and dependents at the Chris Kyle Patriots Hospital. Our goal is to help patients gain the most out of the difficult time that brought them to us. North Star Behavioral Hospital, Palmer Residential Treatment Center, DeBarr Residential Treatment Center & The Cascade Trail at Alpine Academy, Chris Kyle Patrio...ts Hospital & Arctic Recovery Program
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The job skills required for UTILIZATION REVIEW MANAGER include Utilization Management, Mental Health, Psychiatric, Leadership, Acute Care, Credit Card, etc. Having related job skills and expertise will give you an advantage when applying to be an UTILIZATION REVIEW MANAGER. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by UTILIZATION REVIEW MANAGER. Select any job title you are interested in and start to search job requirements.
The following is the career advancement route for UTILIZATION REVIEW MANAGER positions, which can be used as a reference in future career path planning. As an UTILIZATION REVIEW MANAGER, it can be promoted into senior positions as a Clinical Outcomes Manager that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary UTILIZATION REVIEW MANAGER. You can explore the career advancement for an UTILIZATION REVIEW MANAGER below and select your interested title to get hiring information.
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